摘要
目的:观察全髋关节置换术治疗创伤性股骨颈骨折的效果。方法:选取2020年9月—2023年9月安顺市镇宁布依族苗族自治县人民医院收治的创伤性股骨颈骨折患者70例作为研究对象,采用随机数字表法分为试验组和对照组,各35例。试验组采用全髋关节置换术治疗,对照组采用人工股骨头置换术治疗。比较两组手术指标和恢复指标、疼痛程度、髋关节功能评分、并发症发生情况。结果:两组切口长度、首次下床时间比较,差异无统计学意义(P>0.05);试验组出血量大于对照组,手术时间长于对照组,差异有统计学意义(P<0.05)。治疗前,两组Harris评分比较,差异无统计学意义(P>0.05);治疗后,两组Harris评分高于治疗前,且试验组高于对照组,差异有统计学意义(P<0.001)。治疗前,两组视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);治疗后,两组VAS评分低于治疗前,且试验组低于对照组,差异有统计学意义(P<0.001)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论:全髋关节置换术有利于改善创伤性股骨颈骨折患者的髋关节功能,减轻疼痛,且不会增加并发症发生率,但手术时间较长、出血量较多。
Objective:To observe the effect of total hip replacement in the treatment of traumatic femoral neck fracture.Methods:A total of 70 patients with traumatic femoral neck fracture were selected as the research objects at the Zhenning Buyi and Miao Autonomous County People's Hospital of Anshun City from September 2020 to September 2023,and were divided into experimental group and control group by random number table method,with 35 cases in each group.The experimental group was treated with total hip replacement and the control group was treated with artificial femoral head replacement.The surgical indexes and recovery indexes,pain degree,hip function scores and complications were compared between the two groups.Results:There was no significant difference in incision length and first time of getting out of bed between two groups(P>0.05).The blood loss of experimental group was greater than that of control group,and the operation time was longer,the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in Harris score between the two groups(P>0.05).After treatment,the Harris score of the two groups was higher than that before treatment,and the experimental group was higher than the control group,the difference was statistically significant(P<0.001).Before treatment,there was no significant difference in visual analogue scale(VAS)scores between the two groups(P>0.05).After treatment,the VAS score of the two groups was lower than before treatment,and the experimental group was lower than the control group,the difference was statistically significant(P<0.001).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion:Total hip replacement is beneficial to improve hip function and relieve pain in patients with traumatic femoral neck fracture,and does not increase the incidence of complications,but the operation time is longer and the amount of blood loss is larger.
作者
吴尔
Wu Er(Zhenning Buyi and Miao Autonomous County People's Hospital of Anshun City,Anshun 561200,Guizhou Province,China)
出处
《中外医药研究》
2024年第6期24-26,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
股骨颈骨折
全髋关节置换术
人工股骨头置换术
髋关节功能
Femoral neck fracture
Total hip replacement
Artificial femoral head replacement
Hip function
